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Ganser Syndrome
Syndrome Ganser

Presentation

Case Presentation Presenting complaints A 66-year-old Caucasian male presented to the ED with memory loss, altered mental status, and agitation. [cureus.com]

The elder brother presented psychotic depression six months later, followed after several weeks by hypomania. The younger brother also presented a period of depressive symptoms followed by a manic-like psychosis. [capmh.biomedcentral.com]

Two new cases of the Ganser syndrome are presented, and an additional forty-one case reports are reviewed. [ncbi.nlm.nih.gov]

Results A 58-year-old woman was admitted to a Psychiatric Unit of a General Hospital for presenting behavioural abnormalities of acute onset. [em-consulte.com]

It was first presented by German neurologist Sigbert Ganser in 1897, where he described symptoms such as “approximate answers to simple questions, perceptual abnormalities such as visual and auditory hallucinations, clouding of consciousness, and symptoms [psychologyconcepts.com]

Treatment

The treatment plan for Ganser syndrome is patient-specific and is designed to help the patient’s psyche. The treatment plan includes: 1. Psychotherapy: Psychotherapy is the treatment of choice in Ganser syndrome. [icliniq.com]

Simple psychotherapy is the mainstay of treatment. Drug therapy is of limited value and not usually required. [patient.info]

The primary treatment for factitious disorders is psychotherapy (a type of counseling). Treatment likely will focus on changing the thinking and behavior of the individual with the disorder (cognitive-behavioral therapy). [personalitydisorders.wordpress.com]

Treatment: Treatment is usually limited to recognition of the condition and the refusal to give unnecessary medications or to perform unneeded medical procedures. [psychnet-uk.com]

However, it may be helpful to start treatment in people as soon as they begin to have symptoms -Primary treatment for factitious disorders is psychotherapy [mindmeister.com]

Prognosis

More publications are needed on GS to clarify its nature and investigate its treatment and uncertain prognosis. [ncbi.nlm.nih.gov]

Prognosis[2] If the precipitating stress has been withdrawn, symptoms usually resolve spontaneously within days but there is usually no recollection of the illness. Sometimes severe depression follows. [patient.info]

The prognosis is uncertain. The present report is of a 40-year-old Thai male with symptoms of clouding of consciousness, approximate answers to simple questions, reported auditory hallucinations and somatic delusions. [insights.ovid.com]

What is the prognosis (outlook) for people with factitious disorders? Some people with factitious disorders suffer one or two brief episodes of symptoms. [personalitydisorders.wordpress.com]

Forecast The prognosis for patients with Ganser's syndrome is considered favorable, as recovery is usually expected for several days. [iliveok.com]

Etiology

Etiological, epidemiological and diagnostic issues have never been resolved for Ganser's syndrome. [read.qxmd.com]

The etiology of Ganser syndrome remains unknown. Some precipitating stressors have been reported and in other cases patients have had organic brain syndrome. [insights.ovid.com]

Questions about its etiology, definition, and classification, as well as its status as a true mental illness versus a specific form of malingering has been the subject of multiple journal articles and book chapters. 3/5 Ganser Syndrome and the DSM-III [psychnet-uk.com]

Epidemiology

Epidemiological studies have stated that fewer than 100 people have been reported to be suffering from Ganser syndrome. [icliniq.com]

Etiological, epidemiological and diagnostic issues have never been resolved for Ganser's syndrome. [read.qxmd.com]

CONCLUSIONS: While no epidemiologic conclusions can be drawn from the data, clinicians should, nevertheless, be alert to the possibility of patients presenting with Ganser syndrome following TBI. [ncbi.nlm.nih.gov]

Epidemiology Ganser's syndrome is said to be very rare with fewer than 100 cases in the literature.[2]The precise incidence is not known, as most of the recorded cases in the literature describe only individual patients and criteria are lax. [patient.info]

Pathophysiology

Therefore, coexistence of hysterical dissociation and an organic lesion is pathophysiologically understandable. Such cases call for a collaborative approach to management, especially when there is an associated emotional component. 1. Whitlock FA. [indianjpsychiatry.org]

Prevention

Can Ganser Syndrome Be Prevented? There is no known way to prevent this condition. [webmd.com]

Simple memory tests and the existence of symptoms not typical of the syndrome were used to exclude the syndrome.[7] Management[2] Admission to a psychiatric unit in the acute phase is usually required for assessment and to prevent harm to self or to others [patient.info]

Collaborative Meta-Analysis of Randomised Trials of Antiplatelet Therapy for Prevention of Death, Myocardial Infarction, and Stroke in High Risk Patients. ‎ [books.google.es]

Prevention In order to avoid the re-development of Ganzer's syndrome, it is recommended to adhere to several preventive rules: periodically take a course of preventive treatment from a neurologist, taking medications according to the symptoms; observe [iliveok.com]

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